Use of laparoscopic colectomy increasing in trauma: comparison of laparoscopic vs. open colectomy

Updates in Surgery
Areg GrigorianJeffry Nahmias

Abstract

Laparoscopy accounts for > 70% of general surgical cases. Given the increased use of laparoscopy in emergent colorectal disease, we hypothesized that there would be an increased use of laparoscopic colectomy (LC) in trauma patients. In addition, we hypothesized increased length of stay (LOS) and mortality in trauma patients undergoing open colectomy (OC) vs. LC. This was a retrospective analysis using the National Trauma Data Bank (2008-2015). We included adult patients undergoing LC or OC. A multivariable logistic regression model was used for determining risk of LOS and mortality. We identified 19,788 (96.8%) patients undergoing OC and 644 (3.2%) who underwent LC. There was a 21-fold increased number of patients that underwent LC over the study period (p < 0.05), with approximately 119 per 10,000 trauma patients undergoing LC. The most common operation was a laparoscopic right hemicolectomy (27.5%). LC patients had a lower median injury severity score (ISS) (16 vs. 17, p < 0.001). There was no difference in LOS (p = 0.14) or mortality (p = 0.44) between the two groups. This remained true in patients with isolated colorectal injury. The use of LC has increased 21-fold from 2008 to 2015, with laparoscopic right hemicolectomy be...Continue Reading

References

Feb 1, 1991·The British Journal of Surgery·P A GraceD Bouchier-Hayes
Feb 1, 1994·American Journal of Surgery·D B Safran, R Orlando
May 1, 1993·Annals of Surgery·T C FabianK A Kudsk
Dec 1, 1996·Annals of Medicine·A K Leppäniemi, D C Elliott
Jul 13, 1999·Journal of the American College of Surgeons·R T Villavicencio, J A Aucar
May 14, 2004·The New England Journal of Medicine·UNKNOWN Clinical Outcomes of Surgical Therapy Study GroupDavid Ota
Oct 18, 2005·World Journal of Surgery·Christian A KuhneUNKNOWN Working Group on Multiple Trauma of the German Society of Trauma
Apr 12, 2008·The Journal of Trauma·C Clay CothrenDavid B Hoyt
Jun 12, 2008·The Journal of Trauma·Sarah E NilesJohn B Holcomb
Oct 21, 2009·Archives of Surgery·Kristoffer LassenUNKNOWN Enhanced Recovery After Surgery (ERAS) Group
Oct 12, 2012·World Journal of Surgery·Eimer O'MalleyStewart R Walsh
Nov 30, 2012·World Journal of Surgery·Wolfgang B GaertnerGenevieve B Melton
Jan 25, 2014·The Journal of Trauma and Acute Care Surgery·Regan J BergDemetrios Demetriades
May 2, 2014·Anesthesia and Analgesia·Timothy E MillerUNKNOWN Enhanced Recovery Study Group
Nov 12, 2015·International Journal of Critical Illness and Injury Science·Tammy KindelStanislaw P Stawicki
Nov 12, 2015·Annals of Medicine and Surgery·Tyler Chesney, Sergio A Acuna
Jan 20, 2016·Annals of Internal Medicine·Anders ThornellEva Haglind
Aug 6, 2016·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Beth-Ann ShankerAndrea Ferrara
Aug 26, 2016·World Journal of Gastrointestinal Oncology·Shoichi FujiiYojiro Hashiguchi

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.